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Provider Information for 1255762688


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ROBERT KAUFFMAN


Sex: Male

NPI: 1255762688
Last Updated: 2013-12-11
Certification Date:

Details

NameValue
NPI1255762688
Enumeration Date2013-12-11
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 359 FENN ST
ADMINISTRATIVE OFFICES
PITTSFIELD, MA 01201-5261
United States

Phone: 413-629-1251 | Fax:413-448-2198
 
Primary Practice Address 359 FENN ST
ADMINISTRATIVE OFFICES
PITTSFIELD, MA 01201-5261
United States

Phone: 413-629-1251 | Fax:413-448-2198
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101Y00000X - Counselor